| Park City Mountain Medical Clinic | |
|
1493 Lowell Ave Park City UT 84060-5116 | |
| (801) 442-1853 | |
| Not Available |
| Full Name | Park City Mountain Medical Clinic |
|---|---|
| Speciality | Internal Medicine |
| Location | 1493 Lowell Ave, Park City, Utah |
| Authorized Official Name and Position | Linda C Leckman (CEO INTERMOUNTAIN MEDICAL GROUP) |
| Authorized Official Contact | 8014423974 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Park City Mountain Medical Clinic Po Box 27128 Salt Lake City UT 84127-0128 Ph: (801) 442-1853 | Park City Mountain Medical Clinic 1493 Lowell Ave Park City UT 84060-5116 Ph: (801) 442-1853 |
| NPI Number | 1306394929 |
|---|---|
| Provider Enumeration Date | 09/12/2016 |
| Last Update Date | 09/12/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306394929 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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Jupiter Medical I Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1784 Uinta Way Unit E2, Park City, UT 84098 Phone: 435-604-0160 Fax: 435-731-8328 | |
Knepper Concierge Medicine Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1784 Uinta Way Unit E2, Park City, UT 84098 Phone: 617-571-3680 Fax: 435-731-8328 | |
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